Jefferson University Physicians - Medicare Primary Care in Greenville, DE

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Jefferson University Physicians is a medicare enrolled primary clinic (Dermatology) in Greenville, Delaware. The current practice location for Jefferson University Physicians is 3706 Kennett Pike, Greenville, Delaware. For appointments, you can reach them via phone at (302) 477-1991. The mailing address for Jefferson University Physicians is Po Box 828937, Philadelphia, Pennsylvania and phone number is (215) 503-1240.

Jefferson University Physicians is licensed to practice in Delaware (license number ). The clinic also participates in the medicare program and its NPI number is 1295011419. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (302) 477-1991.

Contact Information

Jefferson University Physicians
3706 Kennett Pike
Greenville
DE 19807-2157
(302) 477-1991
(302) 477-1994

Map and Direction


Primary Care Clinic Profile

Full NameJefferson University Physicians
SpecialityDermatology
Location3706 Kennett Pike, Greenville, Delaware
Authorized Official Name and PositionColleen Fusetti (ASSOC. VP, HEALTH PLAN SERVICES)
Authorized Official Contact2159559298
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jefferson University Physicians
Po Box 828937
Philadelphia
PA 19182-8937

Ph: (215) 503-1240		Jefferson University Physicians
3706 Kennett Pike
Greenville
DE 19807-2157

Ph: (302) 477-1991

NPI Details:

NPI Number1295011419
Provider Enumeration Date11/02/2011
Last Update Date01/15/2026

Medicare PECOS Information:

Medicare PECOS PAC ID7911819180
Medicare Enrollment IDO20111212000077

Medical Identifiers

Medical identifiers for Jefferson University Physicians such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295011419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (Delaware)Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
207T00000XNeurological Surgery (* (Not Available))Secondary
207N00000XDermatology (Delaware)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jefferson University Physicians acts as a billing entity for following providers:
Provider NameJonathan Mark Fenkel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811031222
PECOS PAC ID: 9436204229
Enrollment ID: I20120924000562
Provider NameJason B Lee
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1457372963
PECOS PAC ID: 7416914189
Enrollment ID: I20130418000330
Provider NameJesse Michael Civan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1316000805
PECOS PAC ID: 1456591221
Enrollment ID: I20140807002127
Provider NameDina Louise Halegoua De Marzio
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235347105
PECOS PAC ID: 0941426522
Enrollment ID: I20141016001005
Provider NameMatthew S Keller
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1194931907
PECOS PAC ID: 7810049004
Enrollment ID: I20141121000465
Provider NameKehua Li
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1164488417
PECOS PAC ID: 7416993605
Enrollment ID: I20150303000931
Provider NameJamie L Goldberg
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1265725352
PECOS PAC ID: 4880906544
Enrollment ID: I20150709000160
Provider NameJoshua W Trufant
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1255655205
PECOS PAC ID: 4284860750
Enrollment ID: I20150728003498
Provider NameSherry Yang
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1295024057
PECOS PAC ID: 2769607043
Enrollment ID: I20150917001828
Provider NameElizabeth Kaberle Jones
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1851736631
PECOS PAC ID: 6204053077
Enrollment ID: I20171010002279
Provider NameDanielle Marie Tholey
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1508156217
PECOS PAC ID: 0941429633
Enrollment ID: I20190507001101
Provider NameStephanie R Jackson Cullison
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1457705956
PECOS PAC ID: 3971890708
Enrollment ID: I20210930002002
Provider NameAhilan Sivaganesan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1811332174
PECOS PAC ID: 0749582450
Enrollment ID: I20230829002823
Provider NameRebecca Loh
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1033643119
PECOS PAC ID: 8921376088
Enrollment ID: I20250430000183

Reviews and Comments


Dermatology in Greenville, DE

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Practice Location: 3310 Breidablik Dr, Greenville, DE 19807
Phone: 302-543-6165    
Edward J. Mcconnell Md Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 3 Courtney Rd, Sedgely Farms, Greenville, DE 19807
Phone: 302-993-0989    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.